| NPI | 1942014725 |
|---|---|
| Doing Business As | MY INDY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY REIBEL Chief Financial Officer 502-254-8526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |